SearchWisconsin1041C0700X

Amanda Derewicz, LCSW

NPI 1366261695 · on the registry since 2024 · sole proprietor

Practice

Address
4131 W Loomis Rd Apt 120
Greenfield, WI 53221
Phone
(414) 424-2445
Fax
(414) 424-2446
Organisation at this address
Advanced Retina S.C.
Michael N Katzoff Md Llc
Advanced Pain Management
Advanced Pain Management Sc
Advanced Pain Management Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
76

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin